Provider Demographics
NPI:1487066486
Name:FEA INDUSTRIES, INC.
Entity type:Organization
Organization Name:FEA INDUSTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:HEFFNER
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:484-433-9025
Mailing Address - Street 1:1 N MORTON AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:PA
Mailing Address - Zip Code:19070-1514
Mailing Address - Country:US
Mailing Address - Phone:484-433-9025
Mailing Address - Fax:484-478-0342
Practice Address - Street 1:1 N MORTON AVE
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:PA
Practice Address - Zip Code:19070-1514
Practice Address - Country:US
Practice Address - Phone:484-433-9025
Practice Address - Fax:484-478-0342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-24
Last Update Date:2014-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier